A gerontological nurse is assuming the role of an advocate. Which action would exemplify this role?

Teaching an older adult how to best deal with a daughter trying to gain power of attorney prematurely.

Providing an environment in which the restoration of a client's mobility post-stroke can be realized.

Developing new techniques for the wound care of venous ulcers in an older adult.

Teaching licensed care staff to perform appropriate assessment of lower limb circulation.

Answer and Explanation

The Correct Answer is A

A. Teaching an older adult how to best deal with a daughter trying to gain power of attorney prematurely: Advocacy involves supporting and empowering individuals to make informed decisions about their care and well-being. In this scenario, the nurse is advocating for the older adult's autonomy and rights by providing guidance on navigating a potentially challenging situation involving family dynamics and legal matters.

B. Providing an environment in which the restoration of a client's mobility post-stroke can be realized: Advocacy can also involve creating conducive environments for clients to achieve their health goals. In this case, the nurse is advocating for the client's recovery and functional independence by ensuring access to resources and interventions that support mobility rehabilitation post-stroke.

C. Developing new techniques for the wound care of venous ulcers in an older adult: This action is more aligned with innovation and research rather than advocacy. While it may ultimately benefit older adults with venous ulcers, advocacy typically involves more direct support or action on behalf of individual clients or groups to address their immediate needs or rights.

D. Teaching licensed care staff to perform appropriate assessment of lower limb circulation: This action is focused on education and skill development among healthcare staff rather than advocacy for individual clients. It aims to improve the quality of care provided to older adults but does not directly involve advocating for their rights or needs.

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Correct Answer is C

Explanation

A. "Provided you signed a directive on admission, your records will not be made public."

While signing a directive may be part of the admission process, confidentiality is not contingent solely on this. The statement may give the impression that the client's privacy depends on a specific action they took, which is not entirely accurate. Privacy is protected by law regardless of whether a directive was signed.

B. "Privacy legislation ensures that your medical records will not leave this hospital."

Privacy legislation (such as HIPAA in the U.S.) does protect a client's health information, but the statement that records "will not leave this hospital" could be misleading. Records can be shared within the healthcare system or with others involved in the client's care, with the client's consent. This option may oversimplify the scope of privacy protection.

C. "The law protects your right to confidentiality and health information from being released into unintended hands."

This is an accurate and appropriate response. It acknowledges the client's concern and reassures them that the law protects their confidentiality, emphasizing that their health information will not be shared inappropriately.

D. "Anything that is discussed between us is confidential and will not be shared with anyone else."

While this statement reassures the client, it is not entirely accurate. Some information may need to be shared with other healthcare providers involved in the client's care, or in situations required by law (e.g., public health reporting, certain legal proceedings). The statement could be misleading by implying absolute confidentiality, which is not the case.

A. Hope for the future B. Coping strengths C. Empowerment D. Cope with past challenges E. Reminiscence of the past

Correct Answer is ["A","B","C","D","E"]

Explanation

A. Hope for the future

Engaging in spiritual beliefs and practices can provide individuals, including older adults, with a sense of hope and purpose. Spiritual beliefs often offer a framework for understanding life's challenges and uncertainties, and they may provide comfort and assurance about the future.

B. Coping strengths

Spirituality can serve as a source of coping strength for individuals facing difficulties or challenges. By drawing upon their spiritual beliefs and practices, older adults may find resilience, inner strength, and a sense of peace amidst adversity.

C. Empowerment

Actively participating in spiritual beliefs and practices can empower older adult clients by giving them a sense of control, meaning, and connection to something greater than themselves. This sense of empowerment can contribute to their overall well-being and quality of life.

D. Cope with past challenges

Spirituality often provides a framework for understanding and making meaning of past experiences, including challenges or traumas. Engaging in spiritual practices may offer older adults opportunities for reflection, forgiveness, and healing as they come to terms with their past and integrate those experiences into their life narratives.

E. Reminiscence of the past

Spiritual beliefs and practices can evoke memories and facilitate reminiscence of the past for older adults. Engaging in rituals, traditions, or spiritual activities that they are familiar with may trigger memories of significant life events, relationships, or moments of spiritual significance, fostering a sense of continuity and connection across the lifespan.

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A gerontological nurse is assuming the role of an advocate. Which action would exemplify this role?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing care for an older adult client who has been admitted to the hospital with cirrhosis. The client has expressed that the details of the current condition and treatment remain confidential. Which response by the nurse would be appropriate?

Correct Answer is C

Explanation

A nurse working at a long-term care facility encourages older adult clients to engage in spiritual beliefs and practices that they are familiar with. The nurse encourages this activity to promote which effect? (Select All that Apply.)

Correct Answer is ["A","B","C","D","E"]

Explanation

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